Eagles Landing Nephrology and Hypertension LLC
Eagles Landing Nephrology and Hypertension LLC provides Nephrology Physician services in Stockbridge, Georgia. Registered with an NPI since 2016.
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
225 Country Club Dr Ste 140Stockbridge, GA 30281-7392
Phone: (770) 415-5889
Fax: (770) 415-5890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X |
|---|
Record details
| NPI number | 1205294378 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chudamani Polkampally — Owner · (770) 415-5889 |
| NPI enumerated | February 4, 2016 |
| Last updated in NPPES | April 30, 2020 |
| Certification date | April 30, 2020 |
| Mailing address | 225 Country Club Dr Ste 140, Stockbridge, GA 30281-7392 |
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